Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.25 / $301.25 / $362.94	Facility		$301.25	$301.25	$362.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $276.51 / $416.01	Professional		$202.03	$276.51	$416.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $633.73	Facility		$299.44	$299.44	$633.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $526.88 / $672.38	Professional		$299.44	$526.88	$672.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $45.90 / $46.55	Professional		$43.17	$45.90	$46.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $783.86 / $2,147.32	Facility		$100.00	$783.86	$2,147.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $317.74 / $685.00	Professional		$235.28	$317.74	$685.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $63.38 / $149.81	Facility		$63.38	$63.38	$149.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $75.76 / $149.81	Professional		$62.92	$75.76	$149.81
United Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $257.17 / $681.58	Professional		$248.87	$257.17	$681.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $409.62 / $518.51 / $518.51	Professional		$409.62	$518.51	$518.51